Primary sternal osteomyelitis in an immunocompetent adolescent

Primary sternal osteomyelitis is an uncommon but challenging condition that frequently poses diagnostic difficulties. Imaging plays a crucial role in both diagnosing the condition and assessing potential complications. Treatment typically involves a combination of surgical drainage and a prolonged c...

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Bibliographic Details
Main Authors: Fadwa Jaheddine, Ola Messaoud, Omar El Aoufir, Laila Jroundi
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S193004332500175X
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Summary:Primary sternal osteomyelitis is an uncommon but challenging condition that frequently poses diagnostic difficulties. Imaging plays a crucial role in both diagnosing the condition and assessing potential complications. Treatment typically involves a combination of surgical drainage and a prolonged course of antibiotics. We report the case of a 17-year-old immunocompetent male who presented with chest pain. Laboratory investigations revealed elevated inflammatory markers, and blood cultures, along with contrast-enhanced computed tomography, confirmed the diagnosis of primary sternal osteomyelitis. The patient was started on dual antibiotic therapy and underwent surgical drainage, with subsequent favorable clinical and radiological progression.
ISSN:1930-0433